Individual
MRS. AMBER INGRAM CHAUNCEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
1002 11TH ST SW, LIVE OAK, FL 32064-3606
(386) 364-8050
Mailing address
10660 161ST RD, LIVE OAK, FL 32060-6280
(386) 688-3865
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
ARNP3319392
FL
363LP0200X
Pediatric Nurse Practitioner
Primary
ARNP3319392
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
21213600
—
FL
Enumeration date
07/18/2005
Last updated
06/09/2022
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